Question

A client's blood pressure reading is 104/50 mm Hg. After

determining the mean arterial pressure, the nurse understands the
client is at risk for which of the following complications?
A. Increase in or

Answer 1

The client is at risk for a decrease in cerebral perfusion.

Step-by-step explanation:

Mean Arterial Pressure (MAP) is a crucial parameter in assessing perfusion to vital organs. It is calculated using the formula:

MAP = (SBP + 2 * DBP) / 3

where SBP is the systolic blood pressure and DBP is the diastolic blood pressure. In this case, the blood pressure reading is 104/50 mm Hg. Plugging these values into the formula:

MAP = (104 + 2 * 50) / 3 = 204 / 3 = 68 mm Hg

A normal MAP is around 70-110 mm Hg. A MAP of 68 mm Hg falls towards the lower end of the normal range, indicating potential compromised perfusion. This is concerning, especially for organs with high metabolic demands, such as the brain.

Insufficient MAP may result in inadequate blood flow to the brain, putting the client at risk for cerebral hypoperfusion and ischemia. Clinically, this could manifest as symptoms like dizziness, confusion, or even syncope.

Nurses should closely monitor the client's neurological status and collaborate with the healthcare team to implement interventions to improve perfusion, such as adjusting medications or addressing the underlying cause of the low blood pressure.

Regular assessments and prompt interventions are crucial to prevent complications associated with inadequate perfusion, ensuring the well-being of the client.